HomeMy WebLinkAboutPermit Electrical 2010-4-12
City Of Springfield
225 Fifth 51.
Springfield. OR 97477
Phone: 541-726-3753
Email: permilcenler@ci.springfleld.or.us
C-O"1- \10'2;
Residential Electrical Authorization To Begin Work
69600-BEL-10-00161
Approval Code: 111522 4/12/2010 10:02 am
E-mailedTo:jrwireman@comcast.net
o New Construction
(K) Addition/allerationlreplacemenl
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Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps al150 Volts or
less 10 ground exceeds
14,000 Amps for all other
(Zl1 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
-JOB SfTEJNFORMATION ANO:LOCATfON.-' -
Job Address: 6815 MAIN ST
City/StatelZIP: SPRINGFIELD, OR 97478
o Fire pumps
D Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
Suite/bldg./apt.no.:
Project Name: Moore
Cross Street/directions to job site: Main st
Tax map/parcel no.:
1702344400501
_, -- ;;i-OESCRIRTION. OFc WORK .
Description
Servic'e~ropfeede'rs~:
>::'<'Y
Install new 20Damp service and meter with overhead riser and rewire eXisting
branch circuits to panel that were damaged in the fire
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SjIECONTACT
Services 200 amps or less
Branch :circuits
Branch circuits with SeNtee or
feeder each circuit
EleClricalP.erli1it FC:)e~'..:>j,
Subtotal
State surcharge {12% of permit
total
Technology fee (5% of permiltotal)
Name: Jimmie riQQs
Phone: 541-520-6466
Fax: 541-607-0891
Email:
CQNTRACTO~1"-.' ,
Elec lie. no.: 20-529C
cce lie. no.:
TOTAL PERMIT FEE
160918
Business Name: SOURCE ELECTRICAL.lNC
Contact:
Address: 3465 STARK ST
City/State/ZIP: EUGENE, OR 97404
Phone: 5416070891
Fax: 5415206466
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Email: JRWlREMAN@MSN.COM
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
3285S
Supervising Electrician's Name:
WILLIAM H SCHAENZER
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approvill by your local jurisdiction, your permit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if il permit is ~ot obtained.
The local building department may determine that an Authorization To Begin Work Is null and
void if it does nol meet applicable land uselaWli and local ordinances.
o Hazardous loca.tions
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
o "A", "E", or "1~2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
$81.00
$30,00
$111.00
$13.32
$5.55
$129.87
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 68]5 MAIN ST
ASSESSOR'S PARCEL NO.: ]702344400501
PROJECT DESCRIPTION: Fire Damage
Owner: MOORE JOSHUA P
Address: 6815 MAIN ST,
SPRINGFIELD OR 97478
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01708
ISSUED: 03/0912010
APPLIED: 11/30/2009
EXPIRES: 10/12/2010
VALUE: $ 2,000.00
Springfield TYPE OF WORK: Fire Damage
TYPE OF USE: Repair
Residential
Phone Number: 541-228-4107
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor License
RB N ME CONTRACTORS LLC 185254
SOURCE ELECTRICAL INC ]609]8
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VB
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Expiration Date
01/23/20 II
07128/20 I 0
Phone
541-521-8698
541-520-6466
# of Stories:
Height of Structure
TYlle of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Oyerlay Dist:
#'Street Trees Rqd:
. Paved Drive Rqd:
0/0 'of Lot Coverage:
JJJrLlC IMPROVEMENTS I
laW requires Y . .
Street l~~~I,oregon the Oregon UtIlity
Po ...1.. acjopted by set 10rth
Stormf8ll0W-~:l'l!&mel. Those rules ale 952.001-
Speci:tlililis'61\\1fll1n;01 -001 0 through OARh rules by
\ OAR 952-u . pies oft e
Notes'~090. You may obtaIn ~~te: the tele~ho~8
. calling the cen~~~cion Utility Notitlca\ion
number tor the. 1_800-332-2344).
Center IS
Sidewalk Type:
DownspoutslDrains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
(-nr"1!v1E~ICED OR IS ABANDONED FOR
I; " ':':' ",\\1 PERIOD.
Pace 1 01'3
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01708
ISSUED: 03/09/2010
APPLIED: 11/30/2009
EXPIRES: 10/12/2010
VALUE: $ 2,000.00
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Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
. \
Estimate
Type of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
2,000.00
Value
Date Calculated
Description
Total Value of Project
$2,000.00
$2,000.00
03/09/2010
~
Fee Descrintion
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid":;-:.:. \ J~.
. ,'.r
$6.96"
$2.90"-
$58.00
$13.32
$5.55
$30.00
$81.00
Date Paid
Receipt Numher
3/9/10
3/9/10
3/9/10
4/12/]0
4/12110
4/12/1 0
4/121] 0
12010000000000002]5
12010000000000002]5
]20]000000000000215
320]000000000000140
3201000000000000140
3201000000000000140
3201000000000000]40
Total Amount Paid
$]97.73
Plan Reviews ~
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
l.Be~I:~~ecu.~~nections I
Framing Inspection: Prior to cover and aft~r ail roug~ in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01708
ISSUED: 03/09/2010
APPLIED: 11/30/2009
EXPIRES: 10/12/2010
VALUE: $ 2,000.00
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections arc requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
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Pa2e 3 of 3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000140
Date: 04/12/2010
10:42:16AM
Job/Journal Number
COM2009-0 1708
COM2009-0 1708
COM2009-0 1708
COM2009-0 1708
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
30.00
13.32
5.55
$129.87
Payments:
Type of Payment
Amount Paid
NJM
ONLINE SOURCE Online
Payment Total:
$129.87
$129.87
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